A case in which laparoscopic right salpingo-oophorectomy was performed in a patient with a lumboperitoneal shunt
| Autor: | Yayoi Fukuda, Ayuko Otoshi, Chikako Tsukahara, Yukihiro Nishio, Takashi Miyatake, Tomomi Egawa-Takata, Yoshimi Tokugawa, Mio Nakagawa, Yuri Kamino |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Laparoscopic surgery
medicine.medical_specialty Subarachnoid hemorrhage medicine.medical_treatment Salpingo-oophorectomy Lumboperitoneal shunt Article 03 medical and health sciences 0302 clinical medicine Case report medicine Ovarian cyst business.industry LP shunt lumboperitoneal shunt medicine.disease Ventriculoperitoneal shunt CT computed tomography Hydrocephalus Surgery iNPH idiopathic normal pressure hydrocephalus 030220 oncology & carcinogenesis Salpingo-Oophorectomy VP shunt ventriculoperitoneal shunt 030211 gastroenterology & hepatology Neurosurgery Pouch business MRI magnetic resonance imaging Shunt (electrical) |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Highlights • There are few reports about laparoscopic surgery involving patients with LP shunts. • This is the first report about laparoscopic gynecological surgery with an LP shunt. • In gynecological operations, the head of the shunt tube can be an obstacle. • The head of the shunt tube might need to be moved for gynecological operations. Introduction Ventriculoperitoneal (VP shunts) and lumboperitoneal shunts (LP shunts) are used to treat hydrocephalus. The effectiveness of LP shunts has recently been demonstrated. Due to population aging, the number of patients with LP shunts is expected to increase. Presentation of case A 51-year-old female, in whom an LP shunt had been inserted to treat hydrocephalus after a subarachnoid hemorrhage, underwent laparoscopic right salpingo-oophorectomy for a right endometriotic cyst. We consulted a neurosurgeon and confirmed the route of the shunt. We started a normal laparoscopic procedure. The head of the shunt tube was located in Douglas’ pouch and was an obstacle to the procedure. We moved the head of the shunt tube to the vesicouterine pouch and successfully conducted the standard operation. We report the case together with a literature review. Discussion There have been several reports about gynecological laparoscopic surgery being performed in patients with VP shunts. On the other hand, we did not find any English literature about gynecological laparoscopic surgery being conducted in patients with LP shunts during a PubMed search. Conclusion This is the first report about gynecological laparoscopic surgery being performed in a patient with an LP shunt. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|